Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. SAMUEL G DYSTE, P.A.
ActiveMR. SAMUEL G DYSTE, P.A. is a Medical Physician Assistant healthcare provider located in EAST JORDAN, Michigan. NPI 1902098395 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · EAST JORDAN, MI
Registration Details
- NPI Number
- 1902098395
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 10, 2007 (19.017250039498 yrs)
- Last Updated
- Aug 10, 2007
- License
-
5601005079 (MI)
Practice Information
- Address
-
601 BRIDGE STEAST JORDAN, MI, 497279383Browse MI providers · Browse ZIP 49727
- Phone
- 2315362206
- Fax
- 2315369864
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.